02-101842r q,_
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: WILEY �ul
Project Address: 31226 12TH'SW
Project Description: HVAC - Changeout gas furnace
Mechanical Permit #:02 - 101842 - 00 - ME
r
Inspection request line: 253.835.3050
Parcel Number: 416800 0060
Owner
Applicant
Contractor
MICKEY WILEY
NORTHWEST PERMIT
GENESEE FUEL&HTNG CO INC
2320 1ST AVE SUITE 250
P.O. BOX 18206
SEATTLE WA 98121
SEATTLE WA 98118
(206) 722-1545
Mechanical Valuation..........................................3000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See A_nn1iC-.gtin>n Date:
A<—Z' " r( tx- aJ 61 k 6 - /Z - 0 Z.- (f— eJ
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: WILEY
Project Address:
Project Description: HVAC - Changeout gas furnace
Mechanical Permit #: 02 -101842 - 00 - ME
Inspection request line: 253.835 3050
Parcel Number: 556000 1120
Owner
Applicant
Contractor
"brl L M "Itcllens
NORTHWEST PERMIT
GENESEE FUEL & HEATING
2320 1ST AVE SUITE 250
P.O. BOX 18206
SEATTLE WA 98121
SEATTLE WA 98118
(206) 722-1545
Mechanical Valuation..........................................3000 Over the Counter Permit...................................... Yes
Mechanical Fixtures
'' e' crlp ior� , ua�lflu
Furnaces 1
PERMIT EXPIRES November 3, 2002, IF NO WORK IS STARTED.
Permit issued on May 7, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:C A • Date: S �—
AA MN 7/�A�fAM
MAY -03-02 12:09 FROM-NORTHWEST-CASS I IMRRECEIVED BY
COMMUNITY DEVELOPMENT DEF
k MA,Y 0 3 2002
**The following is required Information —Please print (in ink) or type**
zADDRESS: ��10 ,��% �O h �� ASSESSOR'S TAX/PAROL #:
AL DESCRIPTION OF SL,BJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): i
OF PR03ECT (This application):
❑ BUILDING ❑ PLUMBING )E-MECHA6IICAL ❑ DOMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
ROJECT DESCRIPTION (PtQvlde detailed description):
NAME:
1praopm 114FORMAIFION
-RTY OWNER:E77
Gl� w f / Z DAYTTMf PHONE:
G ADDRESS (STREET ADO CSS: ,-�^1'AIV, ZIP); J
? a'f `�- s - r -e `CJD 7 63
�PPLICANT:
MAME'
DAYTI E PHONE:
MAILING ADDRESS (STREET AOORPSS; CSTY, STATE, ZIP):4 /
EVENING PHONE:
CITY O' FEDERAL WAY BUSINESS LICENSE NUMBER:
. FAX NUMBER:
- -
-
CONTRKTORS REGISTRATION NUMBER:
6 6- A),&S��} 3�Qo �
EXPIRATION/ATE:
/ o
NAME:� -
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATL•, IJP): EVENING PHONE:
AEIATIONSHIP TO PROJECT: FAX NUMDER:
❑ ARCHITECT O TENANT ❑ OTHER( DESCRIBE): ( ) E-MAIL ADOREM.'
CONTACT PERSON FOR THIS PROJECT: C] PROPERTY OWNER ❑ APPLICANT ❑ CpNTRACTOR!
ISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
6 ATER SERVICE PROVIDE$::
�SEWER SERVICE PROVIDES,;
EXISTING BUILDING ASSESSED/APPRAISED VALUATION �
PROPOSED VALUATION FOR IMPROVEMENTS: $1 Zi '
❑ YES ❑ NO FIRE SUPPRESSION SYSTEMJPROPOSE04REQUIRED: ❑ YFs ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ pRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
1
MAY -03-02 12:10 FROM-NORTHWEST-CASSIMAR
OF
206-374-0834
ESTIMATED SELLING
T-871 P.02/02 F-794
J
EXISTING SQ._ FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
i
FIRST i
AYR HANDdNG UNIT(S)
SECOND
GAS LOG(S)
R RUG, SYFEM(S,
BBQ(S) 1 i
THIRD
HOOD(S)
ODSTOVE(S)
7-- aOILER(S) I
FOURTH
RANGE(S)
M SC.
COMPRE A.(S)
FURNACE(S)
OTHER FLOG
(DESCRIBE)
i
DUCT(S) I
GAS PIPE OUTLET(S),
HEAT SOURCE:
DECK
• 4
PLUMBING
GARAGE
HOW MANY FL KS?
BATHTUB()
LAVATORY(S)
URINAL(S)
TOTAL:
DISHWAS EF: S)
RAIN WATER SYS.
VACUUM aRFAKER(S)
J
Indicate number of each type of fixture
MECHANICAL
i
AYR HANDdNG UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
R RUG, SYFEM(S,
BBQ(S) 1 i
FAN(S)
HOOD(S)
ODSTOVE(S)
7-- aOILER(S) I
RREPLACE INSERTS)
RANGE(S)
M SC.
COMPRE A.(S)
FURNACE(S)
i
DUCT(S) I
GAS PIPE OUTLET(S),
HEAT SOURCE:
ELECTRIP,S
• 4
PLUMBING
BATHTUB()
LAVATORY(S)
URINAL(S)
WATER HEAYER(S)
DISHWAS EF: S)
RAIN WATER SYS.
VACUUM aRFAKER(S)
[J ELECTRI C (] pAS
DRINKING FCIUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLLf
GAS PIPE U•ML-r(S)
SINKS)
WATER CLOSET(S)
MSC.
INTERC'E Olt(S)
sUMP(S)
i
I certify under penalty of perjury that the information furnished by me is true and correct to the best of v y knowledge, an
further, that Im aa arized by the owner of the above premises to perform the work for which the permit appli tion is made. I
further agree bo hol ha�Zless the City of Federal Way as to any claim (including costs, expenses, and attorneys' f 4es Incuried in th
investigatlon and de ns�"Fj: im), Which be made by any person, including the undersigned, and filed galnst the City a
Federal Way, but on[ rWhere such d ari;es o of the reliance of the city, including its officers and employees, pan the laccumc
of the informationsupplied to the d as. pa f this application.
NAME/=I!!. •,.y
❑ PROPERTY ov
J
.R, FAPPLICANT
DATE:. V'0 —